Francisca Patrícia Barreto de Carvalho

Violência contra idosos: concepções dos profissionais de enfermagem acerca da detecção e prevenção

RESUMO Objetivo: Analisar as concepcoes dos profissionais de enfermagem atuantes em Unidades Basicas de Saude quanto a deteccao e prevencao de idosos violentados. Metodos: Estudo descritivo, exploratorio, qualitativo. Realizado em duas UBS, Mossoro/RN, utilizando roteiro de entrevista semiestruturada, em marco a agosto de 2013. Amostra composta por quatro enfermeiros e seis tecnicos de enfermagem. Realizada analise de conteudo. Resultados: Identificaram-se 4 categorias: Estrategias utilizadas para identificar a violencia contra o idoso; Tipos de violencias contra o idoso; Conduta utilizada apos constatacao de uma suspeita de violencia; SUS e a problematica da violencia contra o idoso. Muitos profissionais reconhecem/desconfiam dos possiveis casos, entretanto, nao sabem como proceder. A dimensao do problema exige que sejam realizadas intervencoes pragmaticas no meio clinico e no contexto social. Conclusoes: Ha necessidade de educacao permanente para profissionais e maior comunicacao entre as instâncias responsaveis pela denuncia e acolhimento. Palavras Chave: Violencia. Idoso. Enfermagem. Estrategia Saude da Familia.OBJECTIVE To analyze the conceptions of the nursing professionals working in Basic Health Units regarding the detection and prevention of violence against the elderly. METHODS Descriptive, exploratory, qualitative study. Performed in two BHUs in Mossoró/RN, using a semi-structured interview script, from March to August of 2013. Sample composed of four nurses and six nursing technicians. The content analysis, pre-analysis, material exploration, and treatment of results were performed. RESULTS Four categories were identified: Strategies used to identify violence against the elderly; Types of violence against the elderly; Conduct used after finding a suspicion of violence; SUS and the problem of violence against the elderly. Many professionals recognize/distrust possible cases, however, they do not know how to proceed. The dimension of the problem requires that pragmatic interventions be performed in the clinical setting and in the social context. FINAL CONSIDERATIONS There is a need for continuing education for professionals and greater communication between the bodies responsible for reporting and embracement.

Compreendendo a “alta em hanseníase”: uma análise de conceito

Objetivo: Analisar o conceito de alta em hanseniase. Metodos: Estudo teorico pautado no referencial metodologico de analise de conceito. Realizou-se levantamento bibliografico, de dezembro de 2015 a janeiro de 2016, nas bases SCOPUS, CINAHL, PUBMED, LILACS, SCIELO e BDENF, mediante uso dos descritores “Hanseniase” e “Alta do Paciente” , obtendo-se 13 estudos. Resultados: Identificou-se alta por cura, alta medicamentosa, alta bacteriologica e pos-alta como possiveis usos do conceito. Os atributos definidos foram conclusao da poliquimioterapia, conclusao da poliquimioterapia para paucibacilares, conclusao da poliquimioterapia para multibacilares e cura da hanseniase. Como antecedentes, identificou-se infeccao pelo M. leprae, acometimento de pele e de nervos perifericos, diagnostico e tratamento e reacoes hansenicas. Saida do registro ativo de casos de hanseniase e continuidade de atencao em saude foram os consequentes. Apresentou-se um caso modelo e um caso contrario. Conclusoes: A analise ampliou o conceito “alta em hanseniase”, para alem da clinica focada na poliquimioterapia. Palavras-chave: Hanseniase. Alta do paciente. Formacao de conceito. Enfermagem.

Sociodemographic And Clinical Profile Of Men Assisted In A Psychiatric Detoxification Service In Natal, Rn, Brazil

Introduction: The male population has a high probability of abandoning treatment, avoidance of health services, great exposure to violence, mainly due to abusive use of alcohol and other drugs, and high crime rates also associated with this problem. Objective: To characterize the sociodemographic and clinical profile of men admitted to a Psychiatric Detoxification Hospital Unit for alcohol and drug abuse. Method: It is a cross-sectional and retrospective study, with data collection in 2015, with a temporal cut in patients´ records between 2008 and 2014, reaching a sample of 1,152 medical records. The data collection instrument was composed of a structured form. The data were analyzed in a descriptive way. Results: Regarding the age, the age group between 21 and 50 years old had 30.73% between six and ten days hospitalized, and 11.98% had readmissions. The main diagnoses for this disorders were linked to the use of opiates, cannabinoids, sedatives and hypnotics. Conclusion: The profile of internal and assisted men was characterized such as adults of productive age, residents of the metropolitan area of the city, with long periods of hospitalization, generally with improved type discharge, low readmission and diagnoses of mental disorders related to the excessive use of alcohol and other drugs.

Care With The Potential Organ Donor In The Intensive Care Unit

Introduction: Organ transplants have expanded throughout the country, being extremely significant for the population. Objective: To know the reality of organ harvesting and describe the care with the potential organ donor in an Intensive Care Unit (ICU) and compare it with the pertinent literature. Method: It is a research of exploratory and descriptive nature, with a qualitative approach. The data were analyzed through the content analysis idealized by Bardin. Results: The findings indicate that the resolution of care and procedures with the potential donor is essential to the success of transplants in our country. Conclusions: Several difficulties have been encountered, as the lack of human and material resources generating impasses in the specific care of the potential organ donor and the lack of provision of continuing education. Keywords: Organ donation; Intensive Care Unit; Nursing.

Pressure Injuries: Predisposing Conditions and Risk Factors in Adult ICU

Introduction: pressure lesions are localized damage in skin and/or underlying soft tissue, usually over a bony prominence or related to a medical device or other device. In Intensive Care Units patients are critically susceptible to the development of lesions by pressure, for various reasons.Objective: to identify predisposing conditions and risk factors of pressure ulcers in patients admitted to an Intensive Care Unit of a mid-sized general hospital in the Western region of the State of Rio Grande do Norte (RN), Brazil.Method: nonparticipating observational study with documentary stage, of prospective longitudinal type, performed in ICU of adult kind of a General Hospital in the city of Mossoro-RN, Brazil. Data collection took place on alternate days during 43 days between May and June 2012. The research protocol was approved by the CEP/UERN under opinion No. 67606/12.Results: the intrinsic risk factors for the emergence of the most evident pressure injuries were decreased pain sensitivity, reduced turgor and elasticity, evidenced bony prominences and impaired physical mobility. Extrinsic risk factors were the pressure force on the body and forces of friction and shear. The chronic obstructive pulmonary disease, impaired motor skills and evidenced bony prominences, specifically in the sacral region, were statistically significant factors in association with the development of pressure injuries.Conclusions: to provide a comprehensive and qualified assistance, it is necessary to invest in improvement of the assistance provided through the adoption of appropriate measures for customer care, education and multidisciplinary team training, as well as the participation of the institution with the promotion of appropriate work conditions for the multidisciplinary team, promoting qualified assistance to the patient.

Clinical and epidemiological profile of patients with leprosy-related reactions

OBJECTIVE To identify the clinical and epidemiological profile of patients under treatment for leprosy-related reactions. METHOD This is a descriptive, cross-sectional and quantitative study, conducted from October 2013 to April 2014 with 61 individuals in a reference center in the Brazilian northeast region. The statistical test used considered a significance level of 0,05. RESULTS Most individuals were males (57.38%), with low family income (50.82%) and incomplete elementary education (75.41%). In the moment of leprosy diagnosis, 52.45% of patients presented some degree of physical disability established. There was significant association between the observed clinic form and the moment of manifestation of leprosy reactions (p= 0.034). The residual analysis indicated that pure neural leprosy is associated to a manifestation of reactions before treatment and dimorphous leprosy was associated to manifestations during treatment. CONCLUSION The disclosure of the clinical picture of pure neural leprosy and early detection of cases strongly contribute to the promotion of population health enabling the fulfillment of the goal of eradicating leprosy.

Perfil clínico y epidemiológico de pacientes con reacción de lepra

OBJECTIVE To identify the clinical and epidemiological profile of patients under treatment for leprosy-related reactions. METHOD This is a descriptive, cross-sectional and quantitative study, conducted from October 2013 to April 2014 with 61 individuals in a reference center in the Brazilian northeast region. The statistical test used considered a significance level of 0,05. RESULTS Most individuals were males (57.38%), with low family income (50.82%) and incomplete elementary education (75.41%). In the moment of leprosy diagnosis, 52.45% of patients presented some degree of physical disability established. There was significant association between the observed clinic form and the moment of manifestation of leprosy reactions (p= 0.034). The residual analysis indicated that pure neural leprosy is associated to a manifestation of reactions before treatment and dimorphous leprosy was associated to manifestations during treatment. CONCLUSION The disclosure of the clinical picture of pure neural leprosy and early detection of cases strongly contribute to the promotion of population health enabling the fulfillment of the goal of eradicating leprosy.

Perfil clínico e epidemiológico de pacientes em reação hansênica

OBJECTIVE To identify the clinical and epidemiological profile of patients under treatment for leprosy-related reactions. METHOD This is a descriptive, cross-sectional and quantitative study, conducted from October 2013 to April 2014 with 61 individuals in a reference center in the Brazilian northeast region. The statistical test used considered a significance level of 0,05. RESULTS Most individuals were males (57.38%), with low family income (50.82%) and incomplete elementary education (75.41%). In the moment of leprosy diagnosis, 52.45% of patients presented some degree of physical disability established. There was significant association between the observed clinic form and the moment of manifestation of leprosy reactions (p= 0.034). The residual analysis indicated that pure neural leprosy is associated to a manifestation of reactions before treatment and dimorphous leprosy was associated to manifestations during treatment. CONCLUSION The disclosure of the clinical picture of pure neural leprosy and early detection of cases strongly contribute to the promotion of population health enabling the fulfillment of the goal of eradicating leprosy.

CUIDADOS PALIATIVOS: UMA ALTERNATIVA PARA OS USUÁRIOS ONCOLÓGICOS FORA DE POSSIBILIDADES TERAPÊUTICAS

O presente estudo, descritivo de abordagem qualitativa, objetivou analisar a assistencia da equipe de enfermagem aos usuarios oncologicos fora de possibilidades terapeuticas (FPT) do Home Care da Liga Mossoroense de Estudos e Combate ao Câncer. A coleta de dados foi realizada nos meses de marco e abril de 2010. Foram utilizadas observacoes nao participantes seguindo um roteiro pre-estabelecido e a utilizacao de roteiros de entrevistas semi-estruturadas. A amostra foi composta de cinco enfermeiros que se enquadraram nos criterios de inclusao. Os dados foram analisados a partir da categorizacao de Minayo. Percebe-se que existem alguns fatores dificultantes para a operacionalizacao efetiva da filosofia dos cuidados paliativos no Home Care , pois embora trabalhem num servico que se deve orientar pelos principios e filosofia deste cuidado, ainda encontramos concepcoes voltadas para um cuidado em busca da cura, alem da falta de aprofundamento sobre cuidados paliativos. Contudo, a localidade analisada oferece possibilidades que precisam ser vislumbradas na perspectiva de colocar em pratica a filosofia dos cuidados paliativos na medida em que avanca na busca da mudanca de paradigmas quando se propoe a prestar assistencia a pacientes muitas vezes negligenciados pelos servicos de saude de forma pioneira no municipio de Mossoro/RN. Objetivo : O presente estudo objetivou analisar a assistencia da equipe de enfermagem aos usuarios oncologicos fora de possibilidades terapeuticas (FPT) do Home Care da Liga Mossoroense de Estudos e Combate ao Câncer. Metodos : Estudo descritivo de abordagem qualitativa. Foram utilizadas observacoes nao participantes seguindo um roteiro pre-estabelecido e a utilizacao de roteiros de entrevistas semi-estruturadas. A amostra foi composta de cinco enfermeiros. Os dados foram analisados a partir da categorizacao de Minayo. Resultados : Percebe-se que existem alguns fatores dificultantes para a operacionalizacao efetiva da filosofia dos cuidados paliativos no Home Care, pois embora trabalhem num servico que se deve orientar pelos principios e filosofia deste cuidado, ainda encontramos concepcoes voltadas para um cuidado em busca da cura. Conclusao : Contudo, a localidade analisada oferece possibilidades que precisam ser vislumbradas na perspectiva de colocar em pratica a filosofia dos cuidados paliativo.

Team work processes of care to burned patient

Objective: to know the composition and working procedures of the team of care to the burned patient. Method: an exploratory descriptive study and qualitative. Data were collected in the Surgical Clinic of the Hospital Regional Tarcisio de Vasconcelos Maia, in Mossoró/RN/Brazil. It was used as an instrument for data collection applied to two nurses, six nursing techniques and four doctors. The interviews were submitted to the Technical Thematic Content Analysis. The research project was approved by the Ethics Committee of the Universidade do Estado do Rio Grande do Norte, CAAE 0035.0.428.000-10. Results: it was evidenced a lack of some professionals for the effective and human treatment of burned patient, and the poor integration between existing and little commitment on the part of some involved, fragmenting the work and doing it there is no continuity and systematization. Conclusion: attention should be paid to the importance of multidisciplinary teamwork, complementing the team with workers not yet present, besides the importance of continuing education programs. Descriptors: burned patient units; standard of care, nursing care, nursing. RESUMO Objetivo: conhecer a composição e os processos de trabalho da equipe de cuidado ao queimado. Método: estudo descritivo-exploratório, de natureza qualitativa. Os dados foram coletados na Clínica Cirúrgica do Hospital Regional Tarcísio de Vasconcelos Maia, em Mossoró/RN/Brasil. Foi usado roteiro de entrevista semiestruturado aplicado a duas enfermeiras, seis técnicas de enfermagem e quatro médicos. As entrevistas foram gravadas e submetidos à Técnica de Análise de Conteúdo Temática. A pesquisa teve o projeto aprovado pelo Comitê de Ética em Pesquisa da Universidade do Estado do Rio Grande do Norte, CAAE n. 0035.0.428.000-10. Resultados: evidenciou-se a ausência de profissionais para o tratamento do queimado, bem como a pouca integração entre eles e pouco comprometimento por parte de alguns, fracionando o trabalho e fazendo-o existir sem continuidade e sistematização. Conclusão: deve-se atentar para a importância do trabalho em equipe multiprofissional, complementando a equipe com trabalhadores ainda não presentes, além da relevância de programas de educação continuada. Descritores: Unidades de Queimados; Padrão de Cuidado; Cuidados de Enfermagem; Enfermagem. RESUMEN Objetivo: conocer la composición y los procesos de trabajo del equipo de atención al quemado. Método: estudio descriptivo-exploratorio, de naturaleza cualitativa. Los datos fueron recogidos en la Clínica Quirúrgica del Hospital Regional Tarcísio de Vasconcelos Maia, en Mossoró/RN/Brasil. Fue utilizado como instrumento para recogida de datos un guión de entrevista semi-estructurado aplicado a dos enfermeras, seis técnicas de enfermería y cuatro médicos y los datos fueron sometidos a la técnica del Análisis de Contenido Temático. La investigación tuvo su proyecto aprobado por el Comité de Ética en Investigación de la Universidade do Estado do Rio Grande do Norte, el CAAE 0035.0.428.000-10. Resultados: se evidenció la ausencia de profesionales para el tratamiento eficaz y humano del quemado, así como la escasa integración entre los existentes y poco compromiso de algunos involucrados, fragmentando el trabajo y haciéndolo existir sin continuidad y sistematización. Conclusión: se debe prestar atención a la importancia del trabajo en equipo multiprofesional, complementando el equipo con trabajadores que aún no están presentes, además de la relevancia de programas de educación continuada. Descriptores: Unidades de Quemados; Estándar de Atención; Atención de Enfermería; Enfermería. Nurse. Master by the Graduate Program of Center of Health Sciences/Nursing, at Universidade Federal do Rio Grande do Norte / UFRN. Professor, Department of Nursing, Universidade do Estado do Rio Grande do Norte/ UERN. Mossoró (RN), Brazil. E-mail: patriciabarreto36@gmail.com; Nurse. Specialist in Work Nursing by the Faculdade União Americana. Mossoró (RN), Brazil. E-mail: humbertoluizcam@hotmail.com; Nurse. Master Student in Graduate Program in Nursing at Center of Health Sciences, Universidade Federal do Rio Grande do Norte/UFRN. Professor, Department of Nursing, Universidade do Estado do Rio Grande do Norte/UERN and Faculdade de Enfermagem Nova Esperança/FACENE. Mossoró (RN), Brazil. Email: xicorafa@yahoo.com.br; Academic of Nursing at Universidade do Estado do Rio Grande do Norte/UERN. Scholarship in the Program of Education by the work for Health (PET Health/Mental Health) at the Universidade do Estado do Rio Grande do Norte/UERN. Mossoró (RN), Brazil. E-mail: ericalfbarreto@gmail.com; Nurse. Student in Master Degree in Health and Society/PPGSS/UERN. Professor, Department of Nursing, Universidade do Estado do Rio Grande do Norte/UERN. Mossoró (RN), Brazil. E-mail: amélia.carol @ gmail.com; Enfermeiro. Master Student in the Graduate Program in Nursing in the Center of Health Sciences, Universidade Federal do Rio Grande do Norte/UFRN. Professor, Department of Nursing, Universidade do Estado do Rio Grande do Norte / UERN and Faculdade de Enfermagem Nova Esperança/FACENE. Mossoró (RN), Brazil. Email: lucidioclebeson@hotmail.com ORIGINAL ARTICLE DOI: 10.5205/reuol.2185-16342-1-LE.0611201215 ISSN: 1981-8963 Carvalho FPB, Moura HLCA de, Soares FRR et al. Team work processes of care to...